Physician's Weekly

JUNE 11, 2025

In an article for Obesity , researchers investigated how to better design lifestyle-based weight loss programs for older adults in order to address muscle and bone health concerns. Social support from family and friends ensures the patient has a robust support system to continue engaging in lifestyle behavior change.

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Imperial Center Family Medicine

MAY 19, 2025

This article explores common signs and symptoms, risk factors associated with blood pressure abnormalities, and when medical attention may be warranted. Recognizing subtle symptoms of high blood pressure or hypertension early is paramount for mitigating associated health risks before complications develop.

Hypertension 52

Hypertension DO Family Medicine Management 52

GeriPal

JULY 19, 2024

Alex 00:20 And she’s professor of family medicine at USC, deputator at JAGS, and co lead of the bold center of Excellence in early detection of dementia. There’s an article about her in New York Times. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist. Anna 01:38 Yeah.

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Screening Primary Care Patient-Centered IT 120

GeriPal

JUNE 8, 2023

-@AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast. What is the role of the family caregiver system, how they play a role?

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Diabetes Management Patient-Centered Families 74

GeriPal

MAY 11, 2023

I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. Or is it going to get worse because they’re now having these complications from lecanemab? This is Eric Widera. Kristine: Exactly.

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Physicals IT Hypertension Education 86

Edge Family Medicine

OCTOBER 8, 2024

At Edge Family Medicine, we prioritize early detection to give our patients the best chance at a healthy life. Diabetes Screening We conduct fasting glucose and A1C tests to diagnose prediabetes or diabetes early, preventing complications like cardiovascular disease and nerve damage.

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DO Family Medicine Screening Family 130

GeriPal

SEPTEMBER 28, 2023

First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Eric: Well, this is the part that I love about your article, too, is that it’s not just these big, big family meetings where miscommunication happens.

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Families Family Patient-Centered IT 144

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” And the sort of the ask was, “Oh yeah, you can talk to the family, right?

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GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? Eric: We’re going to be talking about surgical communications, really based off a series of four wonderful articles in JAMA Surgery, titled Innovations In Surgical Communication.

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GeriPal

FEBRUARY 8, 2024

Alex: I wonder when we talk about it, because we’ll have links to both Eric Cassell’s argument, and we mentioned another article from Tate. The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it. Alex: That’s a big spectrum right there.

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GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. David: Right.

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GeriPal

MAY 22, 2025

And I was looking for articles, and I wasn’t seeing as many as I expected. Jenny 04:45 Like, the last article was, like, 10 years ago. Eric 11:13 And, Tyler, that’s why I loved your article at J Gym on bringing music and benefits to patients at the bedside. Eric 04:42 There was even less on GeriPal. Can you tell us?

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GeriPal

NOVEMBER 14, 2024

If you want to do a deeper dive into some of the articles we discuss, take a look at the following: An awesome JAMA review by Sarah on fall risk assessment and prevention in community-dwelling adults. Sarah 05:53 Yeah, there are absolutely things we can do to prevent falls and prevent the complications. A fall related injury.

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IT Screening Patient-Centered Community 125

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? She falls and breaks her hip. She has advance dementia.

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Patient-Centered Complication Patients IT 101

GeriPal

AUGUST 11, 2022

There was a Stanford article talking about you as a pioneer in this field. There was no conversation with the patient or the family about this. And the families were part of it, which is not what it was like in the hospital. Susan: Thank you. Eric: I wonder if, as a pioneer in the field… And I was just reading about that.

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Illness IT Families Family 110

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

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GeriPal

DECEMBER 14, 2023

So we’re going to have a link to the article that you published in JAMA IM titled The Hospital Culture and Intensity of End-of-Life Care at Three Academic Hospitals. So before we talk about the results, can you give us a very brief overview of what you did in this article? Eric: Yeah, and for our listeners, excellent job, Kai.

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GeriPal

MAY 4, 2023

It is really difficult for the patients and the families. Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. They do choose to rely more on their family and parents in ways that might feel like a step backwards and is yet, still developmentally appropriate and autonomous.

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GeriPal

NOVEMBER 21, 2024

Here are some more resources we’ve discussed in the podcast Dani’s NEJM article on coping: “ Should I Laugh at That? But if we’re going to have a family meeting, that’s a different circumstance. Amanda 20:21 I think family members are a lot of how we make formulations about how people are coping.

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Illness IT Patient-Centered Patients 126

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. Eric: I felt that reading the article. We’ll have a link to that article on our show notes. Ann: Likely.

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GeriPal

MARCH 24, 2022

Start by reading this article by Sean Morrison, Diane Meier, and Bob Arnold in JAMA , and this response from Rebecca Sudore, Susan Hickman, and Anne Walling. And especially for those who may have nontraditional families. This is the latest in our series of podcasts on concerns about, and potential of advance care planning.

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Illness IT Healthcare Patient-Centered 73

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. And I just want to highlight, Jennifer has a great JPSM article that just came out. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Jennifer: Oh nice.

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Illness Hospital Patient-Centered Patients 111

GeriPal

MARCH 9, 2023

Stacy: I honestly read Michael Pollan’s New Yorker article and was really inspired, and cold emailed the group at NYU, and they responded. Alex: It’s complicated. We, for very complicated reasons, ended up with niacin. There was an article in New York Times last week about rampant prescribing of psychedelics.

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Patient-Centered Community IT Medical 91

GeriPal

AUGUST 25, 2022

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. It’s something we need to pay attention to, which is what we were talking about in the article. AlexSmithMD. Transcript.

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Families Family IT Patients 107

GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. So my algorithm in that article is really based off the work Van Bo et all have done.

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Management IT Medical Patient-Centered 123

GeriPal

MAY 25, 2023

Complicated grief? I’m not sure if you read that article and whether or not it’s changed your mind or whether or not you want to do any more research in advance care planning. And as you know, it’s a great article. Did the caregiver feel heard and understood? Did they have PTSD? Depression? Your thoughts?

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Community IT Patient-Centered Primary Care 96

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. David 33:56 Well, yeah, you definitely lose some in the first pass effect, but its not like opioids, where that first pass effect really takes out a lot of effectiveness because the cascade of metabolism for cannabis cannabinoids is pretty complicated. For real, I would say.

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Medical IT Patient-Centered Healthcare 100

GeriPal

NOVEMBER 7, 2024

Eric 00:13 And, Alex, I am very excited today because there was an awesome article on Annals on conservative management versus dialysis. Or is it just this lingering practice of starting dialysis early before really severe complications develop? Eric 11:50 I also have to ask, because we will have a link to this article.

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Management Patient-Centered Patients IT 117

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. Had multiple physical, psychological complications as a result of that.

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Patient-Centered Patients IT Illness 98

GeriPal

MAY 26, 2022

This week, we discuss an article by bioethicists Govind Persad and Emily Largent arguing that the NIH guidance for allocation of Paxlovid during conditions of scarcity. And then being on a scarce resource committee during March, April 2020, man, it got really complicated and we spent hours and days trying to figure things out.

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Vaccination Individual IT Healthcare 88

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Andrew complicates this definition , stating it raises more questions than answers. Particularly patients, families. That their loved one is in there.

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Families Family IT Patient-Centered 94

GeriPal

JANUARY 26, 2023

Our guests Tim Farrell, Ramona Rhodes, and Nancy Lunderbjerg wrote an article in JAGS on this issue, and Sharon Brangman wrote a separate JAGS article on the need to achieve diversity in study populations. The article was titled, “ Change is coming ” – which also gives you a hint as to today’s song request.

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IT Patient-Centered Healthcare Patients 92

GeriPal

MARCH 7, 2024

Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). John: I am what I am, which is a family practice doctor.

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Provider Illness IT Healthcare 119

GeriPal

NOVEMBER 17, 2022

We’ve got a, Sheryl published a great article, and Kenny and Ken published an editorial for that article. The songs about how saving lives is actually a pretty complicated business. And that’s why I think your article is so important is that we need standards. And which journal again? Eric: JAMA Network Open.

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GeriPal

FEBRUARY 13, 2025

We’re gonna be talking about three different articles that are gonna be presented Saturday, I believe, at the annual meeting. Three different articles. And so it was really the patients, you know, the caregivers, the family members were the ones who were sort of the closest in observing. I’m Na Ouyang. Have to see.

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Consulting Community Patient-Centered Families 64

GeriPal

JUNE 15, 2023

For example, there was one article that we reviewed for Jags where it asked great questions, they gave great prompts, and ChatGPT answered great questions about antipsychotics and gave a list of references to back up ChatGPT’s assertions. Our names were slightly off. And they were complete hallucinations. Alex: Go ahead Matt.

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IT Patient-Centered Patients Healthcare 100

GeriPal

MAY 15, 2025

And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? Because it’s complicated and we don’t want to over complicate prayer listeners. Their family members want them to get out of the hospital sooner. If not, why not? And that’s key.

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Patient-Centered Hospital IT Illness 118